Key performance indicators in pre-hospital response to disasters and mass casualty incidents: a scoping review.

IF 1.9 3区医学 Q2 EMERGENCY MEDICINE European Journal of Trauma and Emergency Surgery Pub Date : 2024-07-11 DOI:10.1007/s00068-024-02533-8

Nikolaos Markou-Pappas, Hamdi Lamine, Luca Ragazzoni, Marta Caviglia

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Abstract

Purpose: The objective of this study was to offer a comprehensive synthesis of the existing Key performance indicators (KPIs) used in the evaluation of the pre-Hospital response to disasters and mass casualty incidents (MCIs).

Methods: At the end of December 2022 a scoping review has been performed on PubMed, Scopus, Embase, and Medline to identify articles describing the use of KPIs to assess the performance of first responders during the prehospital phase of an MCI (real or simulated). Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, fourteen articles were included in the analysis.

Results: Eleven articles applied indicators in exercises and/or simulations. Two articles proposed new KPIs, and one used KPIs for developing a model for benchmarking pre-Hospital response. All articles analyzed quantitative indicators of time, whereas two studied indicators of structure, of process, and of outcome as well.

Conclusion: The findings from this review emphasize the need for employing common terminology and using uniformed data collection tools, if obtaining standardized evaluation method is the goal to be achieved.

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院前应对灾害和大规模伤亡事件的关键绩效指标：范围审查。

目的：本研究的目的是对用于评估灾害和大规模伤亡事件（MCIs）院前响应的现有关键绩效指标（KPIs）进行全面综述：方法：2022 年 12 月底，我们在 PubMed、Scopus、Embase 和 Medline 上进行了一次范围界定审查，以确定描述使用 KPI 评估急救人员在 MCI（真实或模拟）院前阶段表现的文章。根据《系统综述和元分析首选报告项目》指南，14 篇文章被纳入分析：结果：有 11 篇文章在练习和/或模拟中应用了指标。两篇文章提出了新的关键绩效指标，一篇文章使用关键绩效指标开发了医院前响应基准模型。所有文章都分析了时间量化指标，两篇文章还研究了结构、过程和结果指标：本综述的结论强调，如果要获得标准化的评估方法，就必须使用通用术语和统一的数据收集工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Trauma and Emergency Surgery 医学-急救医学

CiteScore

4.50

自引率

14.30%

发文量

311

审稿时长

3 months

期刊介绍： The European Journal of Trauma and Emergency Surgery aims to open an interdisciplinary forum that allows for the scientific exchange between basic and clinical science related to pathophysiology, diagnostics and treatment of traumatized patients. The journal covers all aspects of clinical management, operative treatment and related research of traumatic injuries. Clinical and experimental papers on issues relevant for the improvement of trauma care are published. Reviews, original articles, short communications and letters allow the appropriate presentation of major and minor topics.